| |
14395 State Rt 93 Jackson OH 45640 | |
(740) 288-7681 | |
(740) 288-7682 |
Full Name | |
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Speciality | Clinic/Center |
Location | 14395 State Rt 93, Jackson, Ohio |
Authorized Official Name and Position | Sara Marks (CEO) |
Authorized Official Contact | 6064084000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 1595 Ashland KY 41105-1595 Ph: (606) 408-4000 | 14395 State Rt 93 Jackson OH 45640 Ph: (740) 288-7681 |
NPI Number | 1356434773 |
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Provider Enumeration Date | 09/30/2006 |
Last Update Date | 06/16/2023 |
Medicare PECOS PAC ID | 7719882521 |
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Medicare Enrollment ID | O20110316000109 |
Identifier | Type | State | Issuer |
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1356434773 | NPI | - | NPPES |
36D1044778 | Other | OH | CLIA |
Community Action Committee Of Pike County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14590 St Rt 93, Family Health Center Jackson, Jackson, OH 45640 Phone: 740-286-2826 | |
Hopewell Health Centers Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 502 Mccarty Ln, Jackson, OH 45640 Phone: 740-286-5245 Fax: 740-286-7642 | |
Oak Hill Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Burlington Rd, Jackson, OH 45640 Phone: 740-286-3034 Fax: 740-286-6424 |